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NPI Code Detail

MEDICARE: DR. MAHESWARAN PITCHAIMUTHU M.D.,

MEDICARE: DR. MAHESWARAN PITCHAIMUTHU M.D.,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204F00000XTransplant Surgery Physician57.028162OH
2204F00000XTransplant Surgery Physician38745OK

General Provider Information

NPI Number : 1962853994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHESWARAN PITCHAIMUTHU M.D.,
Provider Business Mailing Address
First Line : 800 STANTON L YOUNG BLVD STE 8327
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2016
Last Update Date : 08/03/2023

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